DR. MICHAEL T DORKOWSKI (O.D.) – Optometrist, NPI 1114963683

DR. MICHAEL T DORKOWSKI (O.D.) is a healthcare provider. based in St petersburg, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC6633 (FL). The NPI Number for DR. MICHAEL T DORKOWSKI (O.D.) is 1114963683

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL T DORKOWSKI (O.D.)
NPI
1114963683
Phone
(727) 344-3008
Address
6133 Central Ave
Enumeration Date
21 June 2006
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7275818706
Graduation Year
2004 (22 years ago)
PAC ID
7911941265
Group Practice PAC ID
5092629071
Professional Enrollment ID
I20250716004072
Address ID
FL337612009CL3220XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. MICHAEL T DORKOWSKI (O.D.)

  • 6133 Central Ave

    St Petersburg, FL 337108529

    Phone: (727) 344-3008

    Type: Location

  • 148 13th St SW

    Largo, FL 337703127

    Phone: (813) 253-2727

    Type: Location

  • 11925 Sheldon Rd

    Tampa, FL 336263644

    Phone: (813) 792-0444

    Type: Location

  • 3220 N McMullen Booth Rd

    Clearwater, FL 337612012

    Phone: (727) 723-8706

    Type: Location

  • 501 N Howard Ave Ste 100

    Tampa, FL 336061213

    Phone: (813) 253-2727

    Type: Location

  • 1295 W Bay Dr

    Largo, FL 337702203

    Phone: (727) 559-9811

    Type: Location

  • 1245, Madison Avenue, Midtown, Memphis, Shelby County, Tennessee, 38104, United States

    MEMPHIS, TN 381042211

    Phone: (901) 722-3250

    Fax: (901) 722-3347

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Alcon Vision LLC ($66).

Total Amount

$111

General + Research + Ownership

Payments

5

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050616001028IOptometryTNTBD
I20250716004072IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2222$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 33710)

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Provider's Procedures

DR. MICHAEL T DORKOWSKI (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTN92012Eye and medical examination for diagnosis and treatment, established patient1514
OPTOMETRYTN92083Measurement of field of vision during daylight conditions1312

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092629071View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
-FL
-FL
O P H T H A L M O L O G YWA
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
Physician AssistantFL
O P T O M E T R YFL

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Frequently asked questions

Where can patients find DR. MICHAEL T DORKOWSKI (O.D.)'s NPI?
You can confirm DR. MICHAEL T DORKOWSKI (O.D.) with NPI 1114963683; it appears in the national provider directory.
Is DR. MICHAEL T DORKOWSKI (O.D.) active in the national directory?
DR. MICHAEL T DORKOWSKI (O.D.)'s public NPI profile is in an active state.
What field does DR. MICHAEL T DORKOWSKI (O.D.) work in?
You can think of DR. MICHAEL T DORKOWSKI (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. MICHAEL T DORKOWSKI (O.D.) practice in Florida?
You will see St Petersburg, Florida on file for DR. MICHAEL T DORKOWSKI (O.D.) alongside any extra practice locations.
How can I contact DR. MICHAEL T DORKOWSKI (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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